HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I 1 �j \)A,°\ SCANNED Permit Number:
_ BY
r,. St. Lucie County
RECEIVED
� Building Permit Application NOV 01 ?019
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE:Generator
PROPOSED IMPROVEMENT{LOCATION
Address: 3301 NW Turnabout LN Palm City, FL 34990
Property Tax ID #: 4436-510-0005-000-2
Site Plan Name:
Project Name: Theodore N Tiemeyer
Lot No.1
Block No.
Supply and install 22kw generator with 200 amp service entrance rated transfer switch and load sharing modules
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping ` Shutters _ Windows/Doors /
_ Electric _ Plumbing _ Sprinklers X Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of construction: $ loads `1"
Sq. Ft, of First Floor:
Utilities: _Sewer _Septic Building Height:
ro
OWNER%sLESSEEt'
Al <, w i'
CONTRACTOR..
NameTheodore N Tiemeyer
Name: Michael Flaxman
Address:3301 NW Turnabout LN
Company: Energized Electric
City: Palm City
Zip Code: 34990 Fax:
Phone No.7723499595
Stater
Address:4252 Bandy Blvd
City: Fort Pierce
Zip Code: 34981 Fax:
Phone N07724661095
State: FL
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail energizedgenerators@gmail.com
State or County License EC13006279
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE
,PEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AWATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of wner/ Lessa/Contractor as Agent for Owner
So tractoor/ tense Holder
STATE OF FL
COUNTY OF OR�WUj-
C UTNTYOFOF FLO�- Ct
I.
The r oing instr ment was acknowledged before me
The r oing instrument was acknowledged before me
this ay of , 20L by
this day of QLtIT�-f 2019 by
WI(YUP\'H(AXrff-y)
�A\UOCACI 1-I(AkMICAQ
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known ` OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Sign p ary I .lira Oda)
Lyotarj) gb i®MLE®rida
,: .. MY COMMISSK7N # GG 232946
My ION # GG 236
Co
EXPIRES: June27,2022 (Se
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Com s1q i_�: E7ipnteS:June27,2022 (Se )
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2///3.9